Physician Compare National (NPI:1306984034)

HEALTHCARE PROVIDER: BLAISE K. GLODOWSKI D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306984034
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476633371
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080104000300
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GLODOWSKI
	Individual professional last name
Provider First Name	BLAISE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	360 E BROAD ST
	Group Practice or individual's line 1 address
City	GIBBSTOWN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080271470
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y